New Graduate Nurse

About the Role

This position is for graduates of an accredited school of Nursing working in a state that does not allow graduates to perform nursing duties until licensed. The specific job title will be determined based on the state of employment. You will function as part of the hemodialysis health care team, providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse while working towards obtaining your nursing license. Employees hired into this position are required to obtain their nursing license within 90 days of their hire date.

Responsibilities

• Patient Care:
  • Performs vascular access evaluation pre-treatment.
  • Performs and records pre- and post-dialysis evaluation, weight, and vital signs with initial identification.
  • Performs vascular access cannulation and reports any difficulties or unusual findings to the nurse supervisor.
  • Initiates dialysis treatment according to prescribed orders, including blood flow (QB) and dialysate flow (QD).
  • Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed.
  • Monitors patients’ response to dialysis therapy.
  • Obtains vital signs prior to reinfusion; performs all relevant functions for discontinuation of treatment and documents appropriately.
  • Evaluates patients prior to termination of venous access—standing and sitting blood pressure.
  • Obtains hemostasis and applies appropriate dressings.
  • Evaluates the patient prior to discharge.
  • Documents information related to patient treatment, including entries in the patient health record.
  • Reports significant information and/or changes in patient condition directly to the nurse supervisor.
  • Performs and documents interventions for unusual patient status and documents patients' response to intervention.
  • Obtains all prescribed laboratory testing and prepares specimens for collection.
• Maintenance / Technical:
  • Conducts all tasks necessary for preparation for dialysis treatment and documents where appropriate.
  • Maintains environmental integrity and aesthetics—ensures all areas are safe and clean.
  • Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy.
  • Performs all required pretreatment dialysis machine set up and testing.
  • Ensures all blood spills are immediately cleaned with appropriate disinfectants according to facility policy.
  • Prepares, organizes, and efficiently utilizes supplies and equipment to prevent waste.
• Clerical & Administrative:
  • Enters all treatment data into the designated clinical application accurately and in a timely manner.
  • Reviews health care record for completeness and ensures omitted entries are completed or corrected.
  • Prepares lab requisitions for prescribed or stat lab specimens according to laboratory destination.
  • Collects, labels, appropriately prepares, and stores lab samples according to required laboratory specifications.
  • Ensures collection of lab specimens by appropriate lab courier.
• Other:
  • Obtains and maintains any required credentials or certifications necessary for the position in an active and valid status, including renewals prior to expiration.
  • Capable of working in a challenging environment requiring multitasking, flexibility, and handling demanding situations.
  • Maintains regular and punctual attendance.
  • Performs other related duties as assigned.

Requirements

• Graduated from an accredited nursing program within the past 12 months.
• Required to obtain nursing license within 90 days of employment.

Physical Demands and Working Conditions

• Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Failing the test does not preclude employment; reasonable accommodations will be considered.
• Work includes using a desk and personal computer, interacting with patients, facility staff, and physicians.
• May require travel between assigned facilities and various locations within the community, as well as travel to regional, Business Unit, and Corporate meetings.
• Work environment is characteristic of a health care facility with air temperature control and moderate noise levels.
• May be exposed to infectious and contagious diseases/materials.
• Provides direct patient care involving heavy lifting and moving of patients; equipment aids and/or coworkers may assist.
• Requires frequent, prolonged periods of standing and bending over.
• May occasionally push and/or pull equipment, exerting up to 15 pounds of force.
• May be required to lift and lower solutions frequently (up to 30 lbs.) and occasionally (up to 40 lbs.), as high as 5 feet. A two-person assist program and "material assist" devices are available for heavier items.